2023
DOI: 10.3390/ijms24119304
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Signaling Pathways in the Pathogenesis of Barrett’s Esophagus and Esophageal Adenocarcinoma

Abstract: Barrett’s esophagus (BE) is a premalignant lesion that can develop into esophageal adenocarcinoma (EAC). The development of Barrett’s esophagus is caused by biliary reflux, which causes extensive mutagenesis in the stem cells of the epithelium in the distal esophagus and gastro-esophageal junction. Other possible cellular origins of BE include the stem cells of the mucosal esophageal glands and their ducts, the stem cells of the stomach, residual embryonic cells and circulating bone marrow stem cells. The clas… Show more

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Cited by 4 publications
(5 citation statements)
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“…We observed that the mosaic cell population was most abundant in EAC tumors (Fig.9b), which shared the same characteristics as Barrett’s esophagus (BE). This result was also consistent with a previous study that revealed EAC occurred predominantly in the lower esophagus near the gastroesophageal junction and was associated with BE [40,49], indicating the mosaic cell population plays an important role in the progression to esophageal cancer.…”
Section: Resultssupporting
confidence: 93%
See 1 more Smart Citation
“…We observed that the mosaic cell population was most abundant in EAC tumors (Fig.9b), which shared the same characteristics as Barrett’s esophagus (BE). This result was also consistent with a previous study that revealed EAC occurred predominantly in the lower esophagus near the gastroesophageal junction and was associated with BE [40,49], indicating the mosaic cell population plays an important role in the progression to esophageal cancer.…”
Section: Resultssupporting
confidence: 93%
“…9b), which shared the same characteristics as Barrett's esophagus (BE). This result was also consistent with a previous study that revealed EAC occurred predominantly in the lower esophagus near the gastroesophageal junction and was associated with BE [40,49], indicating the mosaic cell population plays an important role in the progression to esophageal cancer. Furthermore, we observed significantly higher gastric and intestinal columnar cells in EAC tumors than ESCC tumors (Fig.…”
Section: Application Of Cssingle To Esophageal Carcinomasupporting
confidence: 93%
“…Pathologically, BE is characterized by the phenotypic shift of esophageal epidermal cells toward intestinal differentiation. Several molecular changes in the basal esophageal keratinocytes, such as ectopic expression of CDX2 and activation of CDX2-related signaling pathways, were identified to be associated with BE and EAC development [ 35 , 36 ]. Therefore, it could be implied that impairment of keratinocyte-related functions contributed to both EAC and BE.…”
Section: Discussionmentioning
confidence: 99%
“…Combining the information on GPER1 RNA expression from the Oncomine database in Barrett’s esophagus, we proposed that GPER1 might be correlated with the pathogenic initiation of EAC. Barrett’s esophagus is a precancerous lesion of EAC and is commonly observed in men [ 36 , 37 , 38 ]. Whether the high expression of GPER1 in Barrett’s esophagus contributes to the transfer of precancerous lesions to malignancy is not currently well known.…”
Section: Discussionmentioning
confidence: 99%